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Crosstalk Between ER Stress, Unfolded Protein Response (UPR) and Wnt Signaling Pathway in Cancer 肿瘤内质网应激、未折叠蛋白反应(UPR)和Wnt信号通路之间的串扰
Pub Date : 2020-03-01 DOI: 10.30476/ACRR.2020.46538
M. Siri, S. Hosseini, S. Dastghaib, P. Mokarram
Abstract: 1. Context Endoplasmic reticulum stress (ER stess) is associated with endoplasmic reticulum perturbation homeostasis. Prolonged ER stress conditions may induce cell death. Unfolded protein response (UPR) attempts to restore normal cell conditions. 2. Evidence Acquisition There now exists an emergent body of evidence identifying the WNT signaling network as a regulator of cancer cell metabolism. Given that existing findings show that the WNT pathway and ER stress regulates changes in metabolic activities of cancer cells suggesting these signaling pathways represent critical nodes in the regulation of central metabolism in tumors. 3. Results Findings suggest that the molecular cross-talks between hypoxic ER stress, Wnt/βcatenin signaling, may represent an important mechanism that enables some tumor subtypes to survival and grow in hypoxic conditions. 4. Conclusions The present article disuses differential effects of the activation of the three arms of UPR, namely endoplasmic reticulum kinase (PERK), activation transcription factor -6 (ATF-6), and inositol –requiring enzyme (IRE-1) on cancer. This review also highlights regulators and downstream effectors of Wnt cascade and addresses the increasingly apparent crosstalk of Wnt with other tumorigenic signaling pathways.
文摘:1。内质网应激(内质网应激)与内质网扰动稳态有关。延长内质网应激条件可诱导细胞死亡。未折叠蛋白反应(UPR)试图恢复正常的细胞状态。2. 现在有一个新兴的证据表明WNT信号网络是癌细胞代谢的调节因子。鉴于已有研究表明WNT通路和内质网应激调节癌细胞代谢活动的变化,提示这些信号通路是肿瘤中枢代谢调节的关键节点。3.结果研究结果提示,缺氧内质网应激、Wnt/β连环蛋白信号通路之间的分子交叉对话可能是某些肿瘤亚型在缺氧条件下存活和生长的重要机制。4. 本文讨论了UPR三臂即内质网激酶(PERK)、活化转录因子-6 (ATF-6)和肌醇需要酶(ir -1)的激活对癌症的不同作用。本综述还重点介绍了Wnt级联的调节因子和下游效应因子,并讨论了Wnt与其他致瘤信号通路日益明显的串扰。
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引用次数: 1
Cancer bio-repository 癌症bio-repository
Pub Date : 2019-12-01 DOI: 10.30476/ACRR.2019.46388
S. Fakher, S. Hosseini, Mozhdeh Zamani, L. Ghahramani, P. Mokaram
Background: Cancer research is highly dependent of large amount of data and high quality samples which can be provided by networks to enable large-scale multi-center research projects. Biologic materials, such as blood, tissue samples, DNA, body fluids and the related data obtained in cohorts and clinical trials are valuable sources for research which should be managed by policies and standard operating procedures as biorepositories or biobanks. Methods and evidence acquisition: The authors investigated and summarized pubmed database articles using biobanks and describing the policies. Conclusion: biobanking as a young discipline in different countries needs new technologies, standards and harmonization. In this review article, we have an overview on biorepository, cancer biobanking and the emerging registry in Iran. Background: Cancer research is highly dependent of large amount of data and high quality samples which can be provided by networks to enable large-scale multi-center research projects. Biologic materials, such as blood, tissue samples, DNA, body fluids and the related data obtained in cohorts and clinical trials are valuable sources for research which should be managed by policies and standard operating procedures as biorepositories or biobanks. Methods and evidence acquisition: The authors investigated and summarized pubmed database articles using biobanks and describing the policies. Conclusion: biobanking as a young discipline in different countries needs new technologies, standards and harmonization. In this review article, we have an overview on biorepository, cancer biobanking and the emerging registry in Iran.
背景:癌症研究高度依赖于大量的数据和高质量的样本,而网络可以提供大量的数据和高质量的样本,从而实现大规模的多中心研究项目。血液、组织样本、DNA、体液等生物材料以及在队列和临床试验中获得的相关数据是研究的宝贵来源,应通过政策和标准操作程序作为生物储存库或生物银行加以管理。方法和证据获取:作者调查和总结了使用生物银行和描述政策的pubmed数据库文章。结论:生物银行作为一门年轻的学科,在不同的国家需要新的技术、标准和协调。在这篇综述文章中,我们有一个概述生物库,癌症生物银行和新兴登记在伊朗。背景:癌症研究高度依赖于大量的数据和高质量的样本,而网络可以提供大量的数据和高质量的样本,从而实现大规模的多中心研究项目。血液、组织样本、DNA、体液等生物材料以及在队列和临床试验中获得的相关数据是研究的宝贵来源,应通过政策和标准操作程序作为生物储存库或生物银行加以管理。方法和证据获取:作者调查和总结了使用生物银行和描述政策的pubmed数据库文章。结论:生物银行作为一门年轻的学科,在不同的国家需要新的技术、标准和协调。在这篇综述文章中,我们有一个概述生物库,癌症生物银行和新兴登记在伊朗。
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引用次数: 0
Examining Hyper-Reactivity to Defecation-Related Sensations in Children With Functional Defecation Disorders (FDD) 功能性排便障碍(FDD)患儿对排便相关感觉的高反应性研究
Pub Date : 2019-12-01 DOI: 10.5014/ajot.2020.74s1-rp201a
Isabelle Beaudry-Bellefeuille, A. Lane, E. Ramos-Polo, S. Lane
Background: Adequate sensory perception and reactivity to sensory stimuli associated with defecation is key to successful stool toileting. Preliminary reports suggests that some of the difficulties that many children with FDD experience with toileting could be related to sensory hyper-reactivity. Objective: This study investigated the relationship between sensory hyper-reactivity and functional defecation disorders (FDD). Methods: Parents of three to six-year-old children with and without FDD completed two questionnaires; the Toileting Habit Profile Questionnaire-Revised (THPQ-R; tool that measures sensory hyper-reactivity to defecation related sensations) and the Short Sensory Profile (SSP). On both questionnaires, low scores indicate more concerns. Between group comparisons and the relationship between scores on the THPQ-R and on the sensory hyper-reactivity items of the SSP were examined. Results: The sensory hyper-reactivity mean score of the SSP was lower for children with FDD. The difference was statistically significant (p < .0005). There was a positive correlation between THPQ-R and SSP hyper-reactivity scores (r274 = .485, p < .0005). Further, higher levels of sensory hyperreactivity (low SSP score) were associated with a higher frequency of the challenging defecation behaviors described in the THPQ-R (low THPQ-R score). Conclusion: Health practitioners do not usually consider sensory hyper-reactivity as a possible factor contributing to the difficulties of the child with FDD. Our results indicate that routine screening for sensory hyper-reactivity may be an important practice element when working with children with FDD. In addition, the present study adds support to the validity of the THPQ-R in identifying behaviors potentially linked to sensory hyper-reactivity.
背景:与排便相关的感官知觉和对感官刺激的反应是成功排便的关键。初步报告显示,许多患有FDD的儿童在如厕方面遇到的一些困难可能与感觉过度反应有关。目的:探讨感觉超反应性与功能性排便障碍(FDD)的关系。方法:3 ~ 6岁有和无FDD儿童的家长填写两份问卷;如厕习惯调查问卷(THPQ-R);测量排便相关感觉的超反应性的工具)和短感觉轮廓(SSP)。在这两份问卷中,分数越低,说明越担心。比较两组间比较,并检查THPQ-R和SSP中感觉超反应性项目得分之间的关系。结果:FDD患儿感觉超反应性平均SSP得分较低。差异有统计学意义(p < .0005)。THPQ-R与SSP超反应性评分呈正相关(r274 = 0.485, p < 0.0005)。此外,高水平的感觉超反应性(低SSP评分)与THPQ-R(低THPQ-R评分)中描述的挑战性排便行为的频率较高相关。结论:保健医生通常不认为感觉过度反应是导致FDD儿童困难的一个可能因素。我们的研究结果表明,在治疗FDD儿童时,常规的感觉超反应性筛查可能是一个重要的实践元素。此外,本研究进一步支持了THPQ-R在识别可能与感觉超反应性相关的行为方面的有效性。
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引用次数: 3
The Results and Outcomes of Rectal Cancer Treatment in the Era of Adjuvant Chemoradiation 辅助放化疗时代直肠癌治疗的结果与结局
Pub Date : 2019-12-01 DOI: 10.30476/ACRR.2019.45941
A. Izadpanah, S. Hosseini, M. Al-Qanbar, Mozhdeh Zamani, Behnam Kadkhodaei
Abstract Background: Colorectal cancer causes many deaths worldwide and rectal cancer includes one-third of them. Surgical mesorectal excision along with preoperative neoadjuvant chemoradiotherapy is known as the standard treatment for rectal cancer. However, inaccurate preoperative staging is a main concern which leads to large number of patients not being treated with neoadjuvant therapy. Selection of the best treatment approach for these patients is controversial. Although significant better survival was observed is patients who received postoperative adjuvant chemoradiation compared with patients who treated with surgery alone, other studies did not find such results. Due to these contradictory results, this study was designed to further evaluate the survival outcomes in rectal cancer patients who received adjuvant chemoradiotherapy without neoadjuvant therapy. Methods: Totally 197 rectal cancer patients who received adjuvant chemoradiation were included in this study. The demographic and clinico-pathological characteristics of the patients were evaluated by statistical analysis. Results: Based on the univariate cox regression, poor disease free survival (DFS) was significantly associated with male sex and T3 stage. Poor overall survival (OS) was also associated with stage II/III, T3/T4, NI/NII, grade II/III, positive node number (> 3), perineural invasion, lymphovascular invasion, and margin involvement. According to the multivariate cox regression, independent predictive factors for DFS were T3 andT4 stage, and for OS were also T3/ T4 stage, grade II/ III and lymphovascular invasion. Conclusions: Taken together, obtained results indicated that combined adjuvant chemoradiation contributes to improve survival outcomes in the rectal cancer patients who did not received neoadjuvant therapy.
背景:结直肠癌是世界范围内死亡人数最多的疾病,其中直肠癌占死亡人数的三分之一。手术直肠系膜切除和术前新辅助放化疗被称为直肠癌的标准治疗。然而,不准确的术前分期是导致大量患者不接受新辅助治疗的主要问题。为这些患者选择最佳治疗方法是有争议的。虽然术后辅助放化疗患者的生存率明显高于单纯手术治疗的患者,但其他研究并未发现这一结果。鉴于这些相互矛盾的结果,本研究旨在进一步评估接受辅助放化疗而不进行新辅助治疗的直肠癌患者的生存结果。方法:对197例接受辅助放化疗的直肠癌患者进行研究。统计分析患者的人口学特征和临床病理特征。结果:基于单因素cox回归,无病生存差(DFS)与男性性别和T3分期显著相关。较差的总生存期(OS)还与II/III期、T3/T4期、NI/NII期、II/III级、阳性淋巴结数(> 3)、神经周围浸润、淋巴血管浸润和边缘受累有关。多因素cox回归分析显示,DFS的独立预测因素为T3和T4期,OS的独立预测因素为T3/ T4期、II/ III级和淋巴血管浸润。结论:综上所述,所获得的结果表明,联合辅助放化疗有助于改善未接受新辅助治疗的直肠癌患者的生存结果。
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引用次数: 0
Desmoid tumor initially unresectable – About two cases 硬纤维瘤最初不可切除-约2例
Pub Date : 2019-12-01 DOI: 10.30476/ACRR.2019.45966
Sara Senti Farraraons, A. González, C. Velazquez, Clara Gené Škrabec, I. C. Ausàs
Desmoid tumor, also called aggressive fibromatosis, is a rare fibroblastic proliferation of connective tissue and skeletal muscle aponeurosis. The aetiology of desmoid tumours is poorly understood, but they have been related with oestrogen stimuli, previous trauma, surgical interventions and pregnancy. Although it is characterized by not having potential for metastasize or differentiate, it is a non-encapsulated lesion, with an infiltrative growth and unpredictable behaviour. In this way, it could have either an aggressive pattern, when compared with other low degree malignancy sarcomas, or a very indolent one, even with spontaneous regression. Therapeutic options in desmoid tumours have been changing over these last years, as surgery upfront in asymptomatic patients has been superseded by active surveillance. However, treatment has to be individualized in some specific scenarios such as intra-abdominal lesions. We present two cases of patients diagnosed with an intra-abdominal desmoid tumour with threatening behaviour, the treatment approach and final resolution.
硬纤维瘤,也称为侵袭性纤维瘤病,是一种罕见的结缔组织和骨骼肌腱膜的纤维母细胞增生。硬纤维瘤的病因尚不清楚,但它们与雌激素刺激、既往创伤、手术干预和妊娠有关。虽然它的特点是没有转移或分化的潜力,但它是一种非包被性病变,具有浸润性生长和不可预测的行为。因此,与其他低程度恶性肉瘤相比,它可能具有侵袭性,也可能是非常惰性的,甚至会自发消退。在过去的几年里,硬纤维瘤的治疗选择已经发生了变化,因为无症状患者的术前手术已经被主动监测所取代。然而,在某些特殊情况下,如腹内病变,治疗必须个体化。我们提出了两例患者诊断腹腔内硬纤维瘤的威胁行为,治疗方法和最终决议。
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引用次数: 0
Prevalence of Neuroendocrine Tumors in the Gastrointestinal and Hepatobiliary Systems 胃肠道和肝胆系统神经内分泌肿瘤的患病率
Pub Date : 2019-06-01 DOI: 10.5812/ACR.88004
M. V. Lorenzo, F. M. Agel, R. A. Belando, E. Mengual
Background: Carcinoid tumors are the most common neuroendocrine tumors. In recent years, these tumors have had an increasein incidence, which is probably due to a higher number of them being incidentally found as a result of the rise of preventivemedicine.Objectives: This study aimed to analyze a series of digestive carcinoid tumors detected by conventional endoscopy and/or echoendoscopyto evaluate the prevalence of those located in the colon and rectum, and subsequently make a comparison with data availablein the literature.Methods: In this retrospective, multicenter study (two centers), the clinical records of 100 white patients with more than 100 digestivecarcinoid tumors (some multiple) diagnosed from 1994 to 2018 were reviewed.Results: The mean age of presentation was 52 years and 57% of the patients were men. The mean tumor size was 10 mm. The localizationof the tumors was: stomach 43% (n = 43); duodenum 5% (n = 5); intestine 8% (n = 8); appendix 14% (n = 14); colon 4% (n = 4);rectum 19% (n = 19); pancreas 3% (n = 3); liver 2% (n = 2); gallbladder 1% (n = 1); primary tumor of unknown origin 1% (n = 1). Mostmultifocal tumors were in the stomach (20%; n = 20), followed by the duodenum (1%; n = 1) and intestine (1%; n = 1). Metastases andcarcinoid syndrome were observed in 6% and 5% of the cases, respectively. General survival at the closure of the study was 80%.Conclusions: Age and sex were similar to those described in the literature, while the colon and rectum represented 23% of all carcinoidtumors. There was a predominance of gastroduodenal and rectal carcinoid tumors, probably because the series analyzedwas essentially endoscopic. In comparison with the literature, less cases of metastases or carcinoid syndrome were recorded andsurvival was greater, perhaps due to earlier diagnosis and treatment.
背景:类癌是最常见的神经内分泌肿瘤。近年来,这些肿瘤的发病率越来越高,这可能是由于预防医学的兴起,更多的肿瘤是偶然发现的。目的:本研究旨在分析常规内镜和/或超声内镜检测到的一系列消化道类癌,以评估结肠和直肠的患病率,并与文献资料进行比较。方法:回顾性分析1994 ~ 2018年诊断的100例以上100例白人消化类癌(部分为多发性)患者的临床资料。结果:平均发病年龄52岁,男性占57%。肿瘤平均大小为10mm。肿瘤发生部位:胃43% (n = 43);十二指肠5% (n = 5);肠8% (n = 8);附录14% (n = 14);结肠4% (n = 4),直肠19% (n = 19);胰腺3% (n = 3);肝脏2% (n = 2);胆囊1% (n = 1);原发肿瘤来源不明1% (n = 1),多灶性肿瘤多发生在胃(20%;N = 20),其次是十二指肠(1%;N = 1)和肠(1%;n = 1)。转移和类癌综合征分别占6%和5%。研究结束时的总体生存率为80%。结论:年龄和性别与文献描述相似,结肠和直肠占所有类癌的23%。胃十二指肠类癌和直肠类癌居多,可能是因为所分析的系列基本上是内窥镜检查。与文献相比,转移或类癌综合征的病例记录较少,生存率更高,这可能是由于早期诊断和治疗。
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引用次数: 0
New Insights into the Roles of Yes-Associated Protein (YAP1) in Colorectal Cancer Development and Progression yes相关蛋白(YAP1)在结直肠癌发生和进展中的作用的新见解
Pub Date : 2019-06-01 DOI: 10.5812/ACR.96458
F. Dehghanian, Zahra Azhir, Atefe Akbari, Z. Hojati
Yes-associated protein (YAP1), the downstream effector of the Hippo pathway, plays important roles in the regulation of tissue reconstruction,stem cell proliferation, and development of different cancers. The regulation of YAP1 phosphorylation, YAP1 expressionlevel, and its cellular localization have been considered in cancer development. There are different experimental evidences thatindicate that YAP1 activation results in tumorigenesis, tumor progression, and metastasis. YAP1 is a transcription co-activator, andits dysregulation has been suggested in various cancers including colorectal cancer (CRC). The localization of YAP1 in the nucleusresults in YAP1 interactions with different transcription factors to promote the expression of genes involved in cell proliferation,metastasis, and stem cell maintenance. However, a number of studies have been reported the tumor suppressor role of YAP1 in CRC.Therefore, a better understanding of the YAP1 regulation could be helpful for prevention, diagnosis, and treatment of CRC. In thisreview, we will discuss different roles of YAP1 in CRC progression through the regulatory roles of long non-coding RNAs (LncRNAs),microRNAs (miRNAs) and circular RNAs (CircRNAs) in YAP1 regulation.
Yes-associated protein (YAP1)是Hippo通路的下游效应蛋白,在组织重建、干细胞增殖和不同癌症发生的调控中发挥重要作用。YAP1磷酸化的调控、YAP1的表达水平及其在细胞中的定位在癌症的发展中被考虑。不同的实验证据表明,YAP1激活导致肿瘤发生、肿瘤进展和转移。YAP1是一种转录共激活因子,其失调已被发现在包括结直肠癌(CRC)在内的多种癌症中。YAP1在细胞核中的定位导致YAP1与不同的转录因子相互作用,促进参与细胞增殖、转移和干细胞维持的基因表达。然而,许多研究报道了YAP1在结直肠癌中的抑瘤作用。因此,更好地了解YAP1的调控有助于CRC的预防、诊断和治疗。在这篇综述中,我们将通过长链非编码rna (LncRNAs)、microRNAs (miRNAs)和环状rna (CircRNAs)在YAP1调控中的调节作用来讨论YAP1在CRC进展中的不同作用。
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引用次数: 3
Carausius morosus (Phasmatodea) Homologues of Human Genes with Elevated Expression in the Colon 人类结肠中表达升高基因的同源性研究
Pub Date : 2019-06-01 DOI: 10.5812/ACR.93703
M. Shelomi
Background: Preliminary testing of novel drugs for colorectal conditions must be performed on animal models, with invertebratemodels desirable for practical reasons. The insect excretory organs, the Malpighian tubules, have been cited as models for humanrenal disease research because they differentially express several genes homologous to those differentially expressed in humankidneys. Their role in excretion and homeostasis suggests that they could be models for human colorectal disease. The insect Carausiusmorosus (Phasmatodea) has been a model organism for decades. Regarding its potential use as a colorectal disease model,it has an advantage over other insects in that excretion in Phasmatodea is split between two organs: Malpighian tubules and thePhasmatodea-specific “appendices of the midgut”.Objectives: To find homologues of human colon genes expressed in the excretory tissues of C. morosus for potential use in drugtesting and other experiments requiring an animal model.Methods: Pre-existing transcriptomics data for the excretory system of the C. morosus were examined to find genes homologous tothose known to have elevated expression in the human colon. This was done with the goal of possibly determining the excretorytissues in which they are differentially expressed.Results: Exactly sixty transcripts from the excretory system transcriptome of C. morosus showed high sequence homology withhuman colon-specific genes, with a minimum e-value of 1e-50. Examples include solute carriers, myosin, bestrophin, carbonic anhydrase,and nitric oxide synthase. Several genes were identified with prognostic value for renal, pancreatic, endometrial, liver, skin,and urothelial cancers.Conclusions: C. morosus can be used as model insect for human medical research applications, including colorectal drug testing.
背景:治疗结直肠疾病的新药的初步试验必须在动物模型上进行,由于实际原因,无脊椎动物模型是可取的。昆虫的排泄器官马氏小管被引用为人类肾脏疾病研究的模型,因为它们表达的几个基因与人类肾脏中表达的基因存在差异。它们在排泄和体内平衡中的作用表明它们可能是人类结直肠疾病的模型。昆虫Carausiusmorosus (Phasmatodea)几十年来一直是一种模式生物。考虑到它作为结直肠疾病模型的潜在用途,它比其他昆虫有一个优势,即Phasmatodea的排泄在两个器官之间分裂:Malpighian小管和Phasmatodea特有的“中肠阑尾”。目的:寻找在morosus C.排泄组织中表达的人类结肠基因的同源物,用于药物测试和其他需要动物模型的实验。方法:对morosus C.排泄系统已有的转录组学数据进行检查,寻找与已知在人类结肠中表达升高的基因同源的基因。这样做的目的可能是确定它们在哪些排泄组织中有差异表达。结果:morosus排泄系统转录组中有60个转录本与人类结肠特异性基因具有高度同源性,其e值最小为1e-50。例子包括溶质载体、肌球蛋白、肌球蛋白、碳酸酐酶和一氧化氮合酶。几个基因被确定为肾脏、胰腺、子宫内膜、肝脏、皮肤和尿路上皮癌的预后价值。结论:morosus可作为人体医学研究的模式昆虫,包括结肠直肠药物试验。
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引用次数: 0
Zika Virus Infection and Colorectal Involvement 寨卡病毒感染与结直肠病变
Pub Date : 2019-06-01 DOI: 10.5812/ACR.93108
V. Wiwanitkit
Dear Editor, In medicine, the clinical spectrum of vector-borne diseases is an important issue. In particular, the colorectal involvement of these diseases has attracted much interest. In a previous publication, the interrelationship between the dengue virus and colorectal disease was explored (1). In the present article, the author would like to highlight the importance of investigating the relationship between Zika virus infection and colorectal disease. Zika virus disease is an emerging vector-borne disease presently considered as a significant public health problem. As a new disease, further clinical research on this condition is still required. To the best of our knowledge, the colorectal presentation of Zika virus infection is yet to be reported. Nevertheless, it has already been ascertained that the Zika virus can infect the colorectal mucosa (2). In a recent report by Li et al. the Zika virus was reported to be able to infect rectal mucosa, with this pathology being related to the fecal shedding of the virus (2). The Zika virus can also be detected using rectal swabs (3, 4); a recent report demonstrated that rectal swab samples led to positive viral tests in 10% of patients infected with the Zika virus (4). Rectal infection with the Zika virus can explain the disease transmission via homosexual contact, which is an important mode of Zika virus infection (5). It can also imply the necessity for infection control during any medical procedure involving the colorectal area. Finally, it is an interesting research issue to follow up whether any clinical problems are caused by Zika virus infection at the colorectal mucosa.
在医学领域,病媒传播疾病的临床谱是一个重要的问题。特别是,这些疾病与结肠直肠的关系引起了人们的极大兴趣。在之前的一篇文章中,探讨了登革热病毒与结直肠疾病之间的相互关系(1)。在本文中,作者想强调研究寨卡病毒感染与结直肠疾病之间的关系的重要性。寨卡病毒病是一种新出现的媒介传播疾病,目前被认为是一个重大的公共卫生问题。作为一种新发病,尚需进一步的临床研究。据我们所知,结直肠寨卡病毒感染的表现尚未报告。然而,已经确定寨卡病毒可以感染结肠直肠粘膜(2)。在Li等人最近的一份报告中,寨卡病毒被报道能够感染直肠粘膜,这种病理与病毒的粪便脱落有关(2)。也可以使用直肠拭子检测寨卡病毒(3,4);最近的一份报告表明,直肠拭子样本导致10%的寨卡病毒感染患者病毒检测呈阳性(4)。直肠感染寨卡病毒可以解释通过同性接触传播疾病,这是寨卡病毒感染的重要方式(5)。这也意味着在涉及结直肠区域的任何医疗程序中都需要控制感染。最后,是否有临床问题是由大肠黏膜寨卡病毒感染引起的,这是一个有趣的研究问题。
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引用次数: 0
Principles of Minimally Invasive Surgery for Colorectal Cancer, A Mini Review Article 结直肠癌微创手术原理综述
Pub Date : 2019-06-01 DOI: 10.5812/ACR.90936
J. Ruiz-Tovar
For most patients with colorectal cancer, laparoscopic surgery is considered the gold-standard approach as it features the advantages of minimally invasive surgery and is as oncologically safe as the conventional approach. However, during the past decades,there has been major controversy about the indications and feasibility of the laparoscopic approach for patients with colorectal neoplasm. In this paper, we review the evolution of laparoscopy in the treatment of colorectal cancer.
对于大多数结直肠癌患者来说,腹腔镜手术被认为是金标准的方法,因为它具有微创手术的优点,并且在肿瘤上与传统方法一样安全。然而,在过去的几十年里,关于腹腔镜入路治疗结直肠肿瘤的适应症和可行性一直存在很大的争议。本文就腹腔镜在结直肠癌治疗中的进展作一综述。
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引用次数: 0
期刊
Annals of Colorectal Research
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